Classique fake it until you make it.

Si c'est trop c'est trop picco

7 days is enough. From Chastre in 2001 until now. I don't understand why people are afraid. 7, maybe 5, for most infections is the norm. More is the exception

Tellement d'accord. 15 ans plus tard j'y pense encore.

You should discuss with biologist about the technique. Sometimes there are trouble with the products.

Et du coup vous faites comment dans ce cas? Pose de swan? Picco? Deplétion systématique ?

In our region (south of France) we don't swan anymore.... Since quite a long time. I have seen 1 in my whole life. But I don't do cardiac surgery.

Thank you for your answers though.

I think etco2 is a much better monitor for crashing pt and new cardiac arrest. That's why I don't see the benefit of A line. I'm waiting to be proven wrong. For now I remain skeptical.

Coronary: cat lab. PE : ct or thrombolysis. Brain etiology: surgery. Cardiogenic shock: ecls Hypoxia: too late anyway. A line don't save life hopelessly

But do the time be more efficiently use to transfer the patient to the nearest hospital? Where a ct scan could be done. Or an A line put with more hygienic condition? I'm really skeptical of all the postponable pre hospital gesture. Delaying diagnostic is often fatal for the patient.

Real life question: is this really beneficial? Does the EMS time shouldn't been use in a more beneficial task?

On a les mêmes problèmes souvent en réanimation après les IMV. Les patients relatent une intentionalité. Les psychiatres ne retrouvent pas d'indication d'hospitalisation. On respecte alors l'autonomie du patient. Et du coup, retour à domicile.

Très difficile. Je dirais que sans expertise psychiatrique et sans mise en danger d'autrui ou de sa personne sur le plan légal (imv ou plainte), peu de choses sont possibles. Il reste autonome au sens légal du terme. Il faut l'amener vers une expertise psychiatrique. Soit légalement soit l'entourage

Tellement vrai. Je repense fréquemment aux diverses séries. Dreyfus, Pétain, Céline, les déportés... Hâte de découvrir celle-là.

Les associations de patients - ORKiD, Filière de santé des maladies rénales rares

www.filiereorkid.com/associations...
Vu que ça atteint le rein, les filières d'insuffisant rénaux sont bien structurées, vous allez peut être y trouver vos reponses!

In France we separate the will and the indication. If the family/pt says he want ecls, will you do it? Do you ask the family about which antibiotics are needed? If it's not indicated we don't do. Cpr and ICU, for me, are not indicated for this pt.

Avez vous notion d'une réédition? Car actuellement, il n'est plus en vente. Et il a l'air merveilleux...

En deux mots!

Aaaah sur les épaules de Darwin. Ma première Epiphanie podcastique.

Tellement d'accord!

Peep 5 is like homeopathy. I would put vt 6ml/kg and put as much peep as I can to reach plateau pressure 30

En médecine/biologie la règle est que le premier auteur est celui qui écrit. Le dernier est souvent le responsable principal ou le professeur le plus gradé du service du labo. Après sur la quotité de travail dur a dire. Souvent des guerres de pouvoir.

Comme dirait Brian Goldman. Un joueur de baseball légendaire ne touche que 40% des balles. C'est dur de soigner des proches

I do sympathize so much. It's a blue finger intensive care.

Yes but my only argument is there is not sufficient evidence. Then he goes in the details of Vaast and vanish. Then I say that vanish should disappear. Then details and secondary endpoints. And it goes on and on.

But one of my colleagues is a strong believer. No conflicts of interest though. I don't know what to do.

I do agree so much. I never found a moment when i need it.

I often say that 1L of normal saline is as much salt as in 1kg of crisps.

For me florali means that when people have hypoxic distress (not OAP) and need ventilation (hence musculary assistance) don't delay endotracheal intubation. Optiflow in that condition doesn't hide the exhaustion, Niv do. But in happy hypoxemia COVID, no worries. No psili.